Adam Pavao, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005817 Issued in VA

Practice address

104 Homestead Dr
Forest, VA 24551-4884

Phone

(434) 477-4176

NPI assigned

May 16, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Impact Autism Services

  • Behavior Analyst
  • Forest, VA
  • NPI 1750950671
  NPD Authorized official
• Impact Living Services

  • Professional Counselor
  • Forest, VA
  • NPI 1487054342
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1104237734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 SANGLOE PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245021818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HOMESTEAD DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514884",
            "telephone_number": "434-477-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVAO",
        "first_name": "ADAM",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0701005817",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raven Parke, PA-C
• Patrick Michael Parks, PA-C
• Priyen Patel
• David Robert Paulus, M.D.
• Clifford Ernest Pavalonis
• Rebecca Marie Pearl, COTA/L
• Torie Neel Pendleton, RESIDENT IN COUNSELI
• Khayla Pennix
• Alyssa Joy Penrod, LMFT
• Manuel T Peralta Jr., M.D.

• Professional Counselor in Forest, VA
• Providers in Forest, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.